Organization
HOPE, LOVE AND GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE DOMINIQUE ADAMS (ADMINISTRATOR)
(269) 921-3928
Entity
Organization
Contact information
Practice address
785 PIPESTONE ST, BENTON HARBOR, MI 49022-4815
(269) 921-3928
Mailing address
395 E DELAWARE AVE, BENTON HARBOR, MI 49022-6608
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS110387757
MI
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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